Arthroscopic Rotator Cuff Repair With Patch Augmentation Using an Acellular Dermal Matrix Allograft Into the Triple Row‐Suture Bridge Technique

Patch augmentation with acellular dermal matrix (ADM) allograft is increasingly recognized as an effective method to enhance healing rates following rotator cuff repair in cases of massive rotator cuff tears. However, there is still variability in how patch augmentation is performed. In this study, the authors present a patch augmentation using an ADM allograft into the triple row‐suture bridge technique for treatment of large to massive rotator cuff tear. This method, characterized by knotting the medial row sutures over the ADM allograft, is designed to enhance healing by increasing the contact area among the graft, the rotator cuff tendon, and the footprint, while reducing direct pressure on the tendon.